River water temperature is important and closely related to river ecosystem, concerning fishery industry, human health, and the land-sea exchange of nutrients, especially for great powers with a good deal of heat emission from once-through cooling systems of thermal power plants. However, the changes in river water temperature under the joint action of climate change and human activity such as the heat emission have not been well investigated for rising powers, hampering environmental policy making for sustainable development. Therefore, we have taken advantage of a recently-developed land surface model including river water temperature calculation with anthropogenic thermal discharge and zonal statistics to quantitatively make out the river water temperature variation and the man-made influence over the past thirty years (1981–2010) in China for the first time. Results show that the estimated water temperature in major rivers is generally close to the observation with the r2 of 0.83, though the underestimation exists in some rivers. The river water in the Pearl River Basin was the warmest with the mean temperature of 19.2 °C and the others in order were in the Southeast Basin, the Huaihe River Basin, the Yangtze River Basin, the Haihe River Basin, the Yellow River Basin, the Southwest Basin, the Song-Liao River Basin, and the Continental Basin, ranging from 16.7 °C to 6.3 °C. The Huaihe River Basin had the fastest mean increase rate of ca. 0.27 °C decade−1, while the slowest mean increase rate of ca. 0.13 °C decade−1 existed in the Pearl River Basin. At the subbasin scale, a meridionally-distributed hot spot zone (along the 115°E) of the increasing water temperature has been identified, where the trends ranged from 0.2 °C decade−1 to 0.5 °C decade−1. Air temperature exerted a major control on the spatial pattern of climatological water temperature, while both air temperature and downwelling solar flux played a leading role in the distribution of water temperature change trends. Although anthropogenic thermal emission heated the rivers locally, the impacts in the Song-Liao River, the Haihe River, the Huaihe River, and the middle and lower reaches of Yellow River and Yangtze River had been raised up to ca. 4.5 °C, when comparing with those controlled by climate change only. In general, these results show an acceptable level of river water temperature simulation in the land surface model, and could provide a scientific reference for the assessment on riverine thermal environment under the climate change and social impact in China.